Thorium molten salt reactors need an attached chemical reprocessing plant which runs on radioactive fluoride fuel salts. Chemical processing plants for radioactive materials are a huge headache. Most of the older ones are now Superfund toxic sites.
The great thing about pressurized-water reactors and boiling water reactors is that they work on water, which is easy to handle and doesn't itself become highly radioactive. The radioactive portions of commercial nuclear reactors are very simple, with very few moving parts. The complexity is outside the reactor vessel.
Most of the alternative reactor designs have much more complex radioactive portions. Pebble bed reactors get pebble jams. (An experimental pebble-bed reactor in Germany has been jammed for decades, and still can't be decommissioned.) Helium-cooled reactors leak. (Ft. St. Vrain was so promising.) Sodium cooled reactors have sodium fires.
That's why alternative nuclear technologies haven't caught on. If you need 40 years of trouble-free operation to make a plant pay, none of those technologies qualify.